Children and Youth Registration Form

Please complete the following form and click "send form" at the bottom of the page. Please submit a separate form for each child. If you have any problems or questions feel free to contact the church office at (985) 748-5353 or mharris@amiteumc.org

			mm/dd/yyyy
Child's Name		DOB		Grade
Parent Name(s)
Street
City
State
ZIP
Home Phone
Work Ph.
Cell Ph.
Email
Does your child have any allergies, medical conditions, or special needs you would like us to know about?
Where can we reach you while your child is participating in church activities?
Are you interested in helping out with Children's Ministry programs?
Do we have a Safe Sanctuary Release form for this student?
Please check the program you would like to register this student for:	Tot's Landing Sunday School (2's & 3's) Live B.I.G. Sunday School (Pre-K4 - 4th) We R Methodist Sunday School (5th & 6th) Youth Sunday School (7th-12th - separate) God's Gang (K-4th) MyGrapple.com (5th & 6th) Youth Bible Study (7th-12th -separate)